A.W.C. FAIRCLOUGH MD PC

NPI 1104144526 Active Internal Medicine

Quick Facts

NPI Number

1104144526

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2010-05-10

Last Updated (NPPES)

2010-07-27

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	AF036119 MI

Other Taxonomies

Internal Medicine, Gastroenterology — License AF036119

Practice Address

989 UNIVERSITY DR
SUITE 107
PONTIAC, MI 483421885

Phone: 248-334-4773

Fax: 248-334-8230

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